201200178 六、發明說明: 【發明所屬之技術領域】 本揭示内容概言之係關於減壓醫療系統,且更特定而言 (但不以限制之方式)孫關於用於使用一隔絕流體路徑測量 減壓之系統及方法。 本發明主張對以下美國臨時專利申請案之申請曰期之35 use § 119(e)項下之權益:於2010年5月18日提出申請且標 題為「Systems and Methods for Measuring Reduced Pressure Employing An Isolated Fluid Path」之序列號為61/345,830 之美國臨時專利申請案,其出於所有目的以引用方式併入 本文中;於2010年5月18日提出申請且標題為r Reduced_ Pressure Treatment Systems and Methods Employing A Fluidly Is— pump Control Unit」之序列號為 61/ 345,821之美國臨時專利申請案,其出於所有目的以引用 方式併入本文中;及於2010年11月17曰提出申請且標題為 「Reduced-Pressure Canisters and Methods for Recycling」 之序列號為61/414,738之美國臨時專利申請案,其出於所 有目的以引用方式併入本文中。 【先前技術】 臨床研究及實踐已顯示,在接近組織部位處提供減壓可 增進並加速組織部位處新組織之生長。此現象具有廣泛應 用,但施用減壓可尤其成功地治療傷口。此治療(在醫界 通常稱為「負壓傷口療法」、「減壓療法」或「真空療 法」)提供可包括快速癒合及促進肉芽組織形成在内之多 156368.doc 201200178 種益處β常’經由-多孔墊或其㈣流體裝置來將減壓 施加至組織。該多孔墊含有能夠將減壓分配至組織且引導 自組織沒取之流體之格室或孔。有時,可期望判定組織部 位處所涉及之減壓。舉例而言,可期望確定減壓在一治療 範圍中。 【發明内容】 根據一說明性非限制性實施例,一種用於藉助減壓治療 一患者上之一組織部位之系統包括:一治療引流體,其用 於部署在接近於該組織部位處;—密封部件,其用於在該 ’口療引流體及該患者之表皮之一部分上方形成一流體密 封;一減壓源,其用於提供減壓;及一減壓遞送導管,其 用於流體輕合至該治療引流體絲合至該減壓源。該減壓 遞送導管係用於將治療減壓遞送至該治療引流體。該系統 進步包括一減壓評估導管及一評估室以用於流體耦合至 忒組織部位。該評估室係用於流體耦合至該減壓評估導管 且用於自該组織部位接收一評估減壓。該評估室包括在一 壁上具有一第一可移動部分之一經密封包殼。該第一可移 動部分可操作以在減壓之影響下移動。該系統亦包括接近 於該評估室之該第一可移動部分之一第一壓力偵測器。該 第一壓力偵測器與該評估室流體隔絕且可操作以感測該第 一可移動部分之位移。 根據另一說明性非限制性實施例,一種用於藉助減壓治 療患者上之一組織部位之方法包括:將一治療引流體安 置在接近於該組織部位處;將一密封部件安置於該治療引 156368.doc 201200178 流體及該患者之表皮之一部分上#以形成一 >直體密封;提 供一減壓源;將一減壓遞送導管流體耦合至該治療引流體 且耦合至該減壓源;提供一評估室;及將一減壓評估導管 流體耦合至該評估室且耦合至該組織部位以用於將一評估 減壓遞送至該評估室。該評估室在一壁上具有一第一可移 動部分》該方法進一步包括將一第一壓力伯測器安置在接 近於該評估室之該第一可移動部分處。該第-壓力偵測器 與該評估室流體隔絕。該方法亦包括使用該第一壓力偵測 器來感_該第一可移動部分之位移。 根據另-說明性非限制性實施例,一種用於製造用於測 量一患者上之一組織部位處之減壓之一系統之方法包括: 形成具有與-第一可移動部分之一經密封包殼之一評估 室;及形成具有一遠端及-近端之-減壓評估導管。續減 磨評估導管係用於在該遠端處且在該近端處流體麵合至該 評估室。該方法亦包括形成一第一壓力侦測器該第一麼 力偵測器安置在接近於該評估室之該第一可移動部分處且 ^該評估室流體隔絕。該第一屋力偵測器可操作以感測該 第一可移動部分之位移。 參照以下圖式及詳細說明將明瞭說明性實施例之其 的及優點。 ' 【實施方式】 在說明性實施例之以下詳細說明中,參照形成其一部分 之附圖。為使得熟習此項技術者能實踐本發明 地闊述此等實施例,且應理解,可利用其他實施例二; 156368.doc 201200178 出邏輯性結構、機械、電氣及化學改變’而不背離本發明 之精神或範疇。為避免出現使熟習此項技術者能實踐本文 中所述實施例不需要之細節,本說明可省略熟習此項技術 者已知之某些資訊。不應認為以下詳細說明具有限制性意 義,且說明性實施例之範疇僅由隨附申請專利範圍加以界 定。 參照圖式且主要參照圖1及圖2 ’呈現用於藉助減壓治療 一患者上之一組織部位i 〇 2之一系統丨〇 〇。系統丨〇 〇包括二 敷料104、一減壓子系統106及一減壓評估子系統1〇8。該 減壓子系統108允許相對於壓力位準評估組織部位1〇2處之 減壓,同時避免將高價值組件曝露於受污染流體,該等受 污染流體可係液體或氣體。如本文中所使用,「或」不需 要相互排他性。組織部位102可係任一人類、動物或其他 有機體之軀體組織,包括骨組織、脂肪組織、肌肉組織、 真皮組織、血管組織、結締組織、軟骨、腱、韌帶或任何 其他組織。流體污染物可包括(而非限制地)蛋白質、揮發 性有機化合物(VOC)、脂肪酸、胺,諸如腐胺及丁烯酸及 其他污染物。減壓評估子系統1〇8將與相對於重力場之任 一定向一同工作’乃因壓力沿所有方向起作用。 敷料104包括一 /台療引流體11 〇,治療引流體1 〇〇放置在 接近於組織部位1〇2處。一引流體係一物質或結構,其經 提供以辅助將減壓施加至一組織部位1〇2,將流體遞送至 一組織部位102,或自一組織部位102移除流體。治療引流 體110通常包括複數個流動通道或通路,其分配提供至治 156368.doc 201200178 療引流體110附近之區域中之組織部位102及自治療引流體 110附近之區域中之組織部位i〇2移除之流體。在一個說明 性實施例中’該等流動通道或通路經互連以改良提供至組 織部位102或自組織部位1 〇2移除之流體之分配。治療引流 體110可係一生物相容材料,其能夠與組織部位1〇2接觸地 放置且將減壓分配至組織部位1 〇2。治療引流體丨丨〇之實例 可包括(舉例而言,而非限制地)具有經配置以形成流動通 道之結構元件(諸如,舉例而言,蜂巢狀發泡體、開放格 至發泡體、多孔組織收集、液體、凝膠及包括或固化以包 括流動通道之發泡體)之裝置。治療引流體i丨〇可係多孔的 且可由發泡體、紗布、魅墊或適合一特定生物應用之任何 其他材料製成。 在一個說明性非限制性實施例中,治療引流體u〇係一 多孔發泡體且包括複數個互連格室或孔用作流動通道。多 孔發泡體可係聚亞安酯、開放格室、網狀發泡體,諸如由 德克薩斯州聖安東尼奥之Kinetic Concepts,Incorporated製 造之GranuFoam®材料。在某些情形下,治療引流體11〇亦 可用於將流體(諸如藥物、抗菌藥、生長因子及各種溶液) 分配至組織部位1 02。在治療引流體丨丨〇中或其上可包括其 他層,諸如吸收性材料、芯吸材料、疏水性材料及親水性 材料。 敷料104進一步包括覆蓋治療引流體丨丨〇及該患者之表皮 114之一部为之一密封部件丨12。可使用一附接裝置116來 幫助形成該岔封部件112與該患者之表皮114之間之一流體 156368.doc 201200178 密封。-減1介面118可延伸穿過密封部件ιΐ2以提供對治 療引流體110之流體接入。給出所涉及之特定減壓源或子 系統’該流體密封足以在一期望部位處維持減壓。 該密封部件112可係提供-流體密封之任一材料。該密 封部件112可係(舉例而言,而非限制地卜可㈣或半㈣ 彈性體材料。彈性體之實例可包括(但不限於)天然橡膠、 聚異戊二烯、丁苯橡膠、氯丁橡膠、聚丁二稀、丁腈橡 膠、丁基橡膠、乙丙橡膠、三元乙丙橡膠、氯確化聚乙 稀、聚硫橡#、聚胺基甲酸s旨、EVA膜、共聚醋及聚石夕 氧。密封部件U2之額外特定實例包括聚矽氧敷巾、3M Tegadenn⑧敷巾、丙烯酸敷巾,諸如可自加利福尼亞州帕 薩迪納之Avery Dennison公司講得者。 可使用附接裝置116抵靠患者之表皮114或另—層(諸如 一襯墊或額外密封部件)來固持密封部件112。附接裝置 116可採取數種形式。舉例而言,而非限制地,附接裝置 116可係繞密封部件112之一周邊延伸之一醫療上可接受之 壓敏黏合劑或一水狀膠質材料。 經由一減壓遞送導管120將減壓子系統106所產生之減壓 遞送至減壓介面118。在一個說明性實施例中,減壓介面 118係可自德克薩斯州聖安東尼奥之KCI購得之一 T.R.A.C.墊或Sensa T.R.A.C·®,。減壓介面118允許將減 壓遞送至治療引流體1丨〇。減壓介面118亦通常流體耦合至 一減壓評估導管122,減壓評估導管122可係複數個減壓評 估導管。 156368.doc 201200178 =壓-f估導官122允許傳遞組織部位1⑽之減壓以用於 里目的°如圖2中明確顯示,減壓遞送導管12G與減壓評 :古導管122可在其某些長度或全部長度上組合成一組合導 :124。在圖i及圖2中所示之實施例中組合導管m之遠 ^ /Μ體耗合至減壓介面118且自組織部位102接收減 (組0導管124之一近端128可流體耦合至一連接器 〇減壓遞送導官120之一部分132流體耦合於連接器130 與一流體貯存器134之間。減壓遞送導管12〇之一近端133 流體耦合至流體貯存器134。減壓評估導管122之一部分 136流體耦合於連接器13〇與減壓評估子系統ι〇8之間◎減 壓評估導管122之一近端137流體耦合至評估室146且可包 括一疏水性過濾器149。 減壓子系統1 06將減壓遞送至敷料丨〇4。減壓子系統1 〇6 包括提供減壓之一減壓源138。減壓源138藉由一第二減壓 遞送導管140流體耦合至流體貯存器134以將減壓ι42或治 療減壓142遞送至流體貯存器134。減壓源138可係用於供 應一減壓之任一裝置,諸如一真空幫浦、壁吸器或其他 源。雖然施加至一組織部位之減壓之量及性質將通常根據 應用而變化,但減壓將通常介於_5111«11^(-667 ?&)與-5 00 mm Hg(-66.7 kPa)之間且更通常介於-75 mm Hg(-9.9 kPa) 與-300 mm Hg(-39.9 kPa)之間。 減壓系正經受治療之一組織部位處之小於環境壓力之一 壓力。在大多數情形中,此減壓將小於患者所在位置之大 氣壓力。另一選擇系,減壓可小於、纟且織部位處之流體靜 156368.doc • 10· 201200178 壓。除非另有指示,否則本文所述數量壓力值係表壓。所 遞送之減壓可恆定或變化(模式化或隨機變化)且可連續或 間歇遞送。儘管可使用術語「真空」及「負壓」來闡述施 加至組織部位之壓力,但施加至組織部位之實際壓力可大 於通常與一完全真空相關聯之壓力。與本文所用一致,減 壓或真空壓力之增加通常係指絕對壓力之一相對減小。 減壓子系統106包括將減壓142遞送至流體貯存器134之 減壓源138。治療減壓142係遞送至減壓遞送導管12〇之部 刀132。接著經由減壓介面j丨8將治療減壓} 遞送至治療 引流體11 0。 減壓介面118可自組織部位1〇2接收流體144,流體144由 減壓遞送導管120遞送至流體貯存器134 ^減壓評估導管 122之部分136將一評估減壓遞送至減壓評估子系統1〇8。 斤估減壓係自減壓介面118或組織部位1〇2傳遞以用於測量 目的之減壓。減壓評估子系統丨〇8包括自減壓評估導管1Μ 接收評估減屋之-評估室146。疏水性過滤器149可置於減 壓坪估導管122進人評估室146處之進口處。疏水性過渡器 149係幫助防止流體進入評估室丨46。 坪估室146包括—經密封包殼148。經密封包殼148包括 具有一第一可移動部分152之一壁15〇,諸如第一隔板 154。該第一可移動部分可經歷一混合相,例如氣體及液 體’而不損害準確度。通常,第-隔板154係一半撓性材 料片,其在含玄# 。丹隹忑片之周邊156處錨定至壁150。第一隔板154 °操作以在減壓之影響下至少輕微地自—中性位置移動至 156368.doc 201200178 β平估室146内之一位移位置。經密封包殼ι48在某些實施例 中可包括一排氣口以允許來自組織部位之氣體排氣至大 氣。 一第一壓力偵測器158位於接近於第一可移動部分152處 且可操作以感測第一可移動部分152之移動。第一壓力偵 測器158與評估室146流體隔絕。將第一壓力偵測器158與 评估室146流體隔絕意指到達評估室146之任何氣體或液體 中之污染物將不會到達或污染第一壓力偵測器丨58。第一 壓力偵測器158可包含於一隔絕室ι6〇或殼體内。如下文將 結合圖4A至圖8B更詳細地闡述’第一壓力偵測器ι58可使 用一霍爾效應感測器、一電容感測器、超音波感測器、紅 外感測器或用以偵測第一可移動部分152之移動之其他裝 置。 減壓評估子系統108可操作以接收評估減壓,評估減壓 在達到一充足位準後會將第一可移動部分152自一中性位 置向内移動至一位移位置。第一壓力偵測器158感測第一 可移動部分152之位置且能夠提供減壓之一相對改變之一 指示。可基於一初始測量校準減壓之該改變以反映組織部 位102處所經歷之減壓。第一壓力指示器ι58可在指示器 162上呈現相對改變之一指示或提供一信號以供進一步處 理或使用。 在根據一個說明性實施例之操作中,治療引流體丨丨〇置 於接近於組織部位102處。使用附接裝置116部署密封部件 112。因此,一流體密封形成於密封部件112與患者之表皮 156368.doc -12- 201200178 114之一部分之間。若非已經安裝’則可經由密封部件i i 2 中之一孔口 117來應用減壓介面118。 若非已經耦合,減壓遞送導管120及減壓評估導管122可 流體耦合至減壓介面118。另一選擇係,如所示,包括減 壓遞送導管120及減壓評估導管122之一組合導管124可流 體輕合至減壓介面118。減壓遞送導管120流體糕合至流體 貯存器134。減壓源138流體耦合至流體貯存器134以將減 壓提供至流體貯存器134。一旦經啟動,減壓源138將經由 減壓遞送導管120將減壓遞送至流體貯存器U4且遞送至組 織部位102 ^流體將通常移動至減壓遞送導管12〇中且將流 至流體貯存器134。 減壓介面118允許將一或多個取樣部位處之減壓傳遞至 減壓评估導管122中之一或多者。減壓評估導管i22將評 估減壓遞送至評估室146。如前文所述,在達到一充足位 準後,減壓將經密封包殼148之第一可移動部分152自一中 性位置向内移動至一位移位置。可由第—壓力偵測器158 偵測或感測第一可移動部分152之位移且可由指示器162進 行對減壓之-指示或提供—信號以供進—步處理(包括顯 厂、)第$力偵’則器15 8可經搞合以將一控制信號提供至 減壓源138從而提供回饋控制,以便維持一期望壓力或期 望壓力範圍。減壓評估子系統1〇8亦可包括一使用者介 面例如小鍵盤及顯示器,從而允許鍵入 所期望範圍或接收其他控缝^ 似 糸統100且特定而言減壓評估子系統108允許在不存在氣 156368.doc •13· 201200178 體或液體之污染之情形下相對於壓力評估減壓。可製作減 壓S平估子系統108 ’使得評估室146由相對廉價之組件製 作’以便可方便地允許在使用之後棄置評估室146,同時 允許再次使用第一壓力偵測器158而不存在污染風險。以 此方式’減壓評估子系統108使被污染流體之曝露與更高 價值之物件或相對昂貴之組件接觸之機會最小化。 現在主要參照圖3 ’其呈現一減壓子系統2〇6及一減壓評 估子系統208之另一說明性非限制性實施例。圖3呈現為一 圖形剖視圖》在此說明性實施例中,減壓子系統2〇6與減 壓評估子系統208組合成一減壓治療單元209。減壓治療單 元209可具有一第一部分264(其可經設計以供拋棄且其隔 絕第一部分264中之流體)’且可具有一第二部分266(其可 與第一部分264流體隔絕且其可含有較高價值之物件及可 重新使用之組件)。可藉由一整合式殼體或藉由一托架268 或其他裝置彼此接近地固持第一部分264與第二部分266。 在此說明性實施例中,減壓源238係將減壓242遞送至—導 官270中之一幫浦頭’導管270將該減壓遞送至一流體貯存 器234中。減壓242係遞送至另一導管272中,該另—導管 272將減壓242遞送至一連接器230。連接器23〇將該減壓遞 送至係一組合導管224之一部分之一減壓遞送導管(未明確 顯示)中。組合導管224將該減壓遞送至組織部位。減壓治 療單元209之第二部分266含有一幫浦控制單元274,其可 使用一鏈接介面276將幫浦能量提供至減壓源238之繁浦 頭。 I56368.doc -14- 201200178 使用一減壓評估導管(未明確顯示)將評估減壓自組織部 位遞送至連接器230,該減壓評估導管可係組合導管224之 一部分。評估減壓由一導管278以類似於圖i中所示之方式 之—方式自連接器230遞送至一評估室240。評估室246包 括包括一壁250之一經密封包殼248 ^壁25〇包括—第一可 移動部分252,諸如一第一隔板254。可在第一部分264中 包括一第一壓力偵測器2 5 8且可使其與第一可移動部分2 $ 2 大致對準。第一壓力偵測器258與評估室246流體隔絕。在 減壓下,第一可移動部分252自一中性位置向内移動至一 位移位置。第一壓力偵測器258可操作以在減壓之影響下 感測第一可移動部分252之位移且在一指示器上或藉由一 信號指示減壓之一改變❶因此,第一壓力偵測器258可操 作以評估組織部位處之壓力位準。 流體貯存器234可包括具有一第二可移動部分282之一壁 280,諸如一第二隔板284。在減壓之影響下,第二可移動 J刀282可自一中性位置之一位移位置地移動至流體貯存 器234中。可在第一部分264中包括一第二壓力偵測器286 且可使其與第一可移動部分282大致對準。第二壓力偵測 器286與流體貯存器234流體隔絕。第二壓力偵測器286可 操作以感測第二可移動部分282之位移且幫助判定流體貯 存器23 4内之壓力或壓力之改變。可使用來自第一壓力偵 測器258之減壓資料(其指示組織部位處之壓力)及來自第二 壓力偵測器286之資料(其指示流體貯存器234中之壓力)來 評估一減壓治療系統之效能。 g- 156368.doc •15- 201200178 可在一隔絕室260中包括幫浦控制單元274、第一壓力偵 測器258及第二摘測器286以幫助避免灰塵及其他小污染 物。隔絕室260可包括一或多個排氣口且可進一步包括— 電力單元288’諸如一電池,其可將電能量提供至各種組 件’例如幫浦控制單兀274、第一壓力偵測器258及第二壓 力偵測器286。另外,第一部分264可包括接收輸入(諸如 一期望壓力)之一使用者介面。第一部分264可包括一指示 器(未顯不)以用於可視地指示組織處或流體貯存器234中之 壓力。應注意,在減壓治療單元2〇9之情形下,可期望重 新使用之高價值組件位於第一部分264内且與位於第二部 分266中之被污染或可能被污染之部分流體隔絕。 在本文中所呈現之說明性非限制性實施例中,可使用組 件之數種組合來感測可移動部分152、252、282之位移。 現在將呈現用於感測位移之多個說明性非限制性實施例。 現在主要參照圖4A及圖4B ’呈現—減壓評估子系統则之 一部分。顯示一評估室346之一部分具有一壁35〇,壁350 ,、有第可移動部分352,諸如一第一隔板3Μβ第一隔 板354可包括一目;及撓性或半撓性周邊部分357。在 此說明性非限制性實施例中,第一隔板354之至少一部分 (例如,至少目標355)由一鐵氧磁體材料覆蓋或藉由一鐵氧 磁體材料製成。 位於接近於第一可移動部分352處但與評估室346之内部 流體隔絕或分離的係一第一壓力偵測器358,第一壓力偵 測器358可位於—隔絕室36〇内’隔絕室36〇係部分地顯 156368.doc -16 - 201200178 不。在此實例中,第一壓力偵測器358包括一電磁線圈 390 »具有鐵氧磁體之第一可移動部分352至評估室346中 之位移(如圖4B中所建議)改變電磁線圈39〇所經歷之電 感。可測量該電感之一改變且使用其來判定第一可移動部 分352之位移。舉例而言,隨著通量下降,吾人知道減壓 已增加,且可校準第—可移動部分352之位移以指示評估 至346内部相對於大氣壓力之壓力。可在一指示器362上顯 示壓力改變或壓力或可發送一信號以供進一步處理(包括 在另一位置處顯示)。 現在主要參照圖5A及圖5B,呈現一減壓評估子系統4〇8 之一部分之另一說明性非限制性實施例。顯示一評估室 446之一部分具有一壁45(^該壁45〇包括一第一可移動部 分452,其可係一第一隔板454。第一隔板454包括一目標 455及一撓性或半撓性周邊457。目標455包括一永久性磁 體 492。 位於e平估室446之外部且與評估室446流體隔絕的係一第 一壓力偵測器458 ^第一壓力偵測器458可在一隔絕室46〇 内,顯不其部分。第一壓力偵測器458可係用於感測一磁 場495或磁場495之一改變之一霍爾效應感測器494。磁場 495之改變由第一可移動部分上之永久性磁體的2之移 動導致。可使用磁場495之改變來產生一信號或在指示器 462上指示評估室446内之減壓或減壓之一改變。 現在主要參照圖6A及圖6B,呈現一減壓評估子系統5〇8 之/刀之另一說明性非限制性實施例。顯示一評估室201200178 VI. Description of the Invention: [Technical Field of the Invention] The present disclosure relates generally to a decompression medical system, and more particularly, but not by way of limitation, to the use of an isolated fluid path for measurement. Pressure system and method. The present invention claims the benefit of 35 applications under § 119(e) of the following US Provisional Patent Application: filed on May 18, 2010 and entitled "Systems and Methods for Measuring Reduced Pressure Employing An Isolated U.S. Provisional Patent Application Serial No. 61/345,830, the disclosure of which is incorporated herein by reference in its entirety in its entirety in its entirety in its entirety in U.S. Provisional Patent Application Serial No. 61/345,821, the disclosure of which is incorporated herein by reference in its entirety in its entirety in -Pressure Canisters and Methods for Recycling, US Provisional Patent Application Serial No. 61/414, 738, which is incorporated herein by reference in its entirety. [Prior Art] Clinical studies and practices have shown that providing reduced pressure near a tissue site enhances and accelerates the growth of new tissue at the tissue site. This phenomenon has a wide range of applications, but the application of reduced pressure can be particularly successful in treating wounds. This treatment (often referred to as "negative pressure wound therapy", "reduced pressure therapy" or "vacuum therapy" in the medical community) provides for rapid healing and promotion of granulation tissue formation. 156368.doc 201200178 Benefits β often' The reduced pressure is applied to the tissue via a porous pad or its (iv) fluid device. The porous pad contains cells or pores that are capable of distributing reduced pressure to the tissue and directing fluid that is not taken from the tissue. Sometimes, it may be desirable to determine the decompression involved at the organizational level. For example, it may be desirable to determine that the reduced pressure is within a therapeutic range. SUMMARY OF THE INVENTION According to an illustrative, non-limiting embodiment, a system for treating a tissue site on a patient by decompression comprises: a therapeutic introducer for deployment at a location proximate to the tissue; a sealing member for forming a fluid seal over the portion of the 'oral therapeutic fluid and one of the patient's skin; a reduced pressure source for providing reduced pressure; and a reduced pressure delivery conduit for fluid light The therapeutic introducer fluid is brought to the reduced pressure source. The reduced pressure delivery catheter is used to deliver a therapeutic reduced pressure to the therapeutic introducer. The system advancement includes a reduced pressure assessment catheter and an evaluation chamber for fluid coupling to the ankle tissue site. The evaluation chamber is for fluid coupling to the reduced pressure assessment catheter and for receiving an assessment decompression from the tissue site. The evaluation chamber includes a sealed enclosure having a first movable portion on a wall. The first moveable portion is operable to move under the influence of reduced pressure. The system also includes a first pressure detector in proximity to the first movable portion of the evaluation chamber. The first pressure detector is fluidly isolated from the evaluation chamber and is operable to sense displacement of the first movable portion. According to another illustrative, non-limiting embodiment, a method for treating a tissue site on a patient by decompression comprises: positioning a therapeutic fluid at a location proximate to the tissue site; positioning a sealing component in the treatment 156368.doc 201200178 The fluid and a portion of the patient's epidermis are #formed to form a > straight seal; a source of reduced pressure is provided; a reduced pressure delivery catheter is fluidly coupled to the therapeutic introducer and coupled to the reduced pressure source Providing an evaluation room; and coupling a reduced pressure assessment catheter fluid to the evaluation chamber and to the tissue site for delivering an assessed reduced pressure to the evaluation chamber. The evaluation chamber has a first movable portion on a wall. The method further includes positioning a first pressure detector adjacent the first movable portion of the evaluation chamber. The first pressure detector is fluidly isolated from the evaluation chamber. The method also includes using the first pressure detector to sense the displacement of the first movable portion. According to another illustrative, non-limiting embodiment, a method for manufacturing a system for measuring a reduced pressure at a tissue site on a patient includes: forming a sealed envelope having one of - and a first movable portion An evaluation chamber; and a decompression evaluation catheter having a distal end and a proximal end. A continuous reduction evaluation catheter is used to fluidly engage the evaluation chamber at the distal end and at the proximal end. The method also includes forming a first pressure detector, the first force detector being disposed proximate to the first movable portion of the evaluation chamber and wherein the evaluation chamber is fluidly isolated. The first house force detector is operable to sense a displacement of the first movable portion. The advantages and advantages of the illustrative embodiments will be apparent from the description and drawings. [Embodiment] In the following detailed description of the illustrative embodiments, reference is made to the accompanying drawings. To enable those skilled in the art to practice the invention in the present invention, it should be understood that other embodiments can be utilized; 156368.doc 201200178 logical structural, mechanical, electrical, and chemical changes are made without departing from the present The spirit or scope of the invention. To avoid detail not required to enable those skilled in the art to practice the embodiments described herein, the description may omit certain information known to those skilled in the art. The following detailed description is not to be considered as limiting, and the scope of the illustrative embodiments Referring to the drawings and mainly to Figs. 1 and 2', a system for treating a tissue site i 〇 2 on a patient by decompression is presented. The system 〇 〇 includes two dressings 104, a decompression subsystem 106, and a decompression evaluation subsystem 1〇8. The reduced pressure subsystem 108 allows for the evaluation of the reduced pressure at the tissue site 1〇2 relative to the pressure level while avoiding exposure of the high value components to the contaminated fluid, which may be a liquid or a gas. As used herein, "or" does not require mutual exclusivity. The tissue site 102 can be any body tissue of a human, animal or other organism, including bone tissue, adipose tissue, muscle tissue, dermal tissue, vascular tissue, connective tissue, cartilage, tendon, ligament or any other tissue. Fluid contaminants may include, without limitation, proteins, volatile organic compounds (VOCs), fatty acids, amines such as putrescine and crotonic acid, and other contaminants. The reduced pressure evaluation subsystem 1 〇 8 will work with any orientation relative to the gravitational field' because the pressure acts in all directions. The dressing 104 includes a treatment fluid 11 〇 and the treatment fluid 1 〇〇 is placed close to the tissue site 1 〇 2 . A drainage system-material or structure that is provided to assist in the application of reduced pressure to a tissue site 1〇2, to deliver fluid to a tissue site 102, or to remove fluid from a tissue site 102. The treatment introducer 110 typically includes a plurality of flow channels or passages that are distributed to provide a tissue site 102 in the region adjacent to the therapeutic fluid 110 and a tissue site in the region adjacent to the therapeutic drainage fluid 110 from the treatment 156368.doc 201200178 Remove the fluid. In one illustrative embodiment, the flow channels or passages are interconnected to improve the distribution of fluid provided to or removed from the tissue site 102. The treatment drain 110 can be a biocompatible material that can be placed in contact with the tissue site 1〇2 and dispensed under reduced pressure to the tissue site 1〇2. Examples of treating a fluidic channel can include, by way of example and not limitation, structural elements that are configured to form a flow channel (such as, for example, a honeycomb foam, an open cell to a foam, A device for collecting porous tissue, a liquid, a gel, and a foam comprising or curing to include a flow channel. The treatment introducer fluid can be porous and can be made of a foam, gauze, charm pad or any other material suitable for a particular biological application. In an illustrative, non-limiting embodiment, the treatment fluid is a porous foam and includes a plurality of interconnected cells or pores for use as flow channels. The porous foam may be a polyurethane, an open cell, a reticulated foam such as the GranuFoam® material manufactured by Kinetic Concepts, Incorporated of San Antonio, Texas. In some cases, the therapeutic introducer 11 can also be used to dispense fluids (such as drugs, antibacterials, growth factors, and various solutions) to the tissue site 102. Other layers, such as absorbent materials, wicking materials, hydrophobic materials, and hydrophilic materials, may be included in or on the treatment fluidic raft. The dressing 104 further includes a sealing member 12 that covers the treatment fluid guide and one of the skins 114 of the patient. An attachment device 116 can be used to help form a fluid 156368.doc 201200178 seal between the closure member 112 and the patient's skin 114. The minus 1 interface 118 can extend through the sealing member ι 2 to provide fluid access to the therapeutic priming fluid 110. The particular reduced pressure source or sub-system involved is given. This fluid seal is sufficient to maintain a reduced pressure at a desired location. The sealing member 112 can be any material that provides a fluid seal. The sealing member 112 can be, for example, but not limited to, a (four) or a semi-fourth elastomeric material. Examples of the elastomer can include, but are not limited to, natural rubber, polyisoprene, styrene butadiene rubber, chlorine. Butadiene rubber, polybutylene dilute, nitrile rubber, butyl rubber, ethylene propylene rubber, EPDM rubber, chlorine-based polyethylene, polysulfide rubber, polyamine formic acid, EVA film, copolymerized vinegar and Additional examples of sealing component U2 include polyoxynized wipes, 3M Tegadenn 8 wipes, acrylic wipes such as those available from Avery Dennison, Pasadena, California. Attachment devices can be used The sealing member 112 is held against the patient's skin 114 or another layer, such as a pad or additional sealing member. The attachment device 116 can take several forms. For example, and without limitation, the attachment device 116 A medically acceptable pressure sensitive adhesive or a hydrocolloid may be stretched around the periphery of one of the sealing members 112. The reduced pressure generated by the reduced pressure subsystem 106 is delivered to the reduced pressure via a reduced pressure delivery conduit 120. Interface 118. In one description In an embodiment, the reduced pressure interface 118 is commercially available from KCI, San Antonio, Texas, as one of the TRAC pads or Sensa TRAC®. The reduced pressure interface 118 allows for reduced pressure delivery to the therapeutic approach fluid 1 . The reduced pressure interface 118 is also typically fluidly coupled to a reduced pressure evaluation conduit 122, which may be subjected to a plurality of reduced pressure evaluation conduits. 156368.doc 201200178 = Pressure-f estimate guide 122 allows delivery of tissue site 1 (10) reduction Pressed for the purpose of use. As shown clearly in Figure 2, the reduced pressure delivery conduit 12G and the reduced pressure gauge: the ancient conduit 122 may be combined into a combined guide 124 over some or all of its length. Figure i and Figure 2 In the embodiment shown, the distal end of the combination catheter m is depleted to the reduced pressure interface 118 and received from the tissue site 102 (the proximal end 128 of the group 0 catheter 124 can be fluidly coupled to a connector. A portion 132 of the delivery guide 120 is fluidly coupled between the connector 130 and a fluid reservoir 134. One of the proximal ends 133 of the reduced pressure delivery conduit 12 is fluidly coupled to the fluid reservoir 134. One portion of the reduced pressure assessment conduit 122 is 136 fluid Coupled to connector 13〇 and reduced pressure evaluation subsystem Between ι 8 ◎ a proximal end 137 of the reduced pressure evaluation catheter 122 is fluidly coupled to the evaluation chamber 146 and may include a hydrophobic filter 149. The reduced pressure subsystem 106 delivers reduced pressure to the dressing 丨〇 4. Subsystem 1 〇6 includes a reduced pressure source 138 that provides reduced pressure. The reduced pressure source 138 is fluidly coupled to fluid reservoir 134 by a second reduced pressure delivery conduit 140 to deliver a reduced pressure ι 42 or therapeutic reduced pressure 142 to the fluid. Reservoir 134. The reduced pressure source 138 can be used to supply any means of decompression, such as a vacuum pump, wall sink or other source. Although the amount and nature of decompression applied to a tissue site will generally vary depending on the application, the decompression will typically be between _5111 «11^(-667 ? &) and -500 mm Hg (-66.7 kPa) Between and more typically between -75 mm Hg (-9.9 kPa) and -300 mm Hg (-39.9 kPa). The decompression system is undergoing treatment at one of the tissue sites at a pressure less than one of the ambient pressures. In most cases, this decompression will be less than the atmospheric pressure at the patient's location. Alternatively, the reduced pressure can be less than, and the fluid at the weaving site is static. 156368.doc • 10· 201200178 Pressure. Unless otherwise indicated, the numerical pressure values described herein are gauge pressure. The reduced pressure delivered can be constant or varied (patterned or randomly varying) and can be delivered continuously or intermittently. Although the terms "vacuum" and "negative pressure" may be used to describe the pressure applied to a tissue site, the actual pressure applied to the tissue site may be greater than the pressure typically associated with a full vacuum. Consistent with the use herein, an increase in depressurization or vacuum pressure generally refers to a relative decrease in one of the absolute pressures. The reduced pressure subsystem 106 includes a reduced pressure source 138 that delivers a reduced pressure 142 to the fluid reservoir 134. The therapeutic decompression 142 is delivered to the knife 132 of the reduced pressure delivery catheter 12 . The therapeutic decompression is then delivered to the therapeutic introducer fluid 110 via the reduced pressure interface j丨8. The reduced pressure interface 118 can receive fluid 144 from the tissue site 1〇2, which is delivered by the reduced pressure delivery conduit 120 to the fluid reservoir 134. The portion 136 of the reduced pressure assessment conduit 122 delivers an evaluated reduced pressure to the reduced pressure assessment subsystem. 1〇8. The decompression is transmitted from the decompression interface 118 or the tissue site 1〇2 for decompression for measurement purposes. The reduced pressure evaluation subsystem 包括8 includes a self-decompression evaluation catheter 1 接收 receiving an evaluation reduction house-evaluation chamber 146. A hydrophobic filter 149 can be placed at the inlet of the pressure reduction ramp 122 into the evaluation chamber 146. The hydrophobic transition 149 system helps prevent fluid from entering the evaluation chamber 丨46. The plenum chamber 146 includes a sealed enclosure 148. The sealed enclosure 148 includes a wall 15A having a first movable portion 152, such as a first partition 154. The first movable portion can undergo a mixed phase, such as a gas and a liquid' without compromising accuracy. Typically, the first separator 154 is a half flexible material sheet which contains a black matrix. The periphery 156 of the tanzanite piece is anchored to the wall 150. The first baffle 154° operates to move at least slightly from the neutral position to the 156368.doc 201200178 β leveling chamber 146 within a displacement position under the influence of reduced pressure. The sealed enclosure ι48 may include an vent in some embodiments to allow gas from the tissue site to be vented to the atmosphere. A first pressure detector 158 is located proximate to the first moveable portion 152 and is operable to sense movement of the first moveable portion 152. The first pressure detector 158 is fluidly isolated from the evaluation chamber 146. Fluidly isolating the first pressure detector 158 from the evaluation chamber 146 means that contaminants in any gas or liquid that reaches the evaluation chamber 146 will not reach or contaminate the first pressure detector 丨58. The first pressure detector 158 can be included in an isolation chamber or housing. As will be explained in more detail below in conjunction with FIGS. 4A-8B, the first pressure detector ι 58 may use a Hall effect sensor, a capacitive sensor, an ultrasonic sensor, an infrared sensor or Other devices that detect the movement of the first movable portion 152. The reduced pressure evaluation subsystem 108 is operable to receive an estimated reduced pressure, and the estimated reduced pressure will move the first movable portion 152 inward from a neutral position to a displaced position upon reaching a sufficient level. The first pressure detector 158 senses the position of the first movable portion 152 and is capable of providing an indication of one of the relative changes in decompression. This change in the reduced pressure can be calibrated based on an initial measurement to reflect the reduced pressure experienced at the tissue site 102. The first pressure indicator ι 58 can present an indication of a relative change on the indicator 162 or provide a signal for further processing or use. In operation in accordance with an illustrative embodiment, the treatment introducer is placed adjacent to the tissue site 102. The sealing member 112 is deployed using the attachment device 116. Thus, a fluid seal is formed between the sealing member 112 and a portion of the patient's skin 156368.doc -12- 201200178 114. The reduced pressure interface 118 can be applied via one of the apertures 117 in the sealing member i i 2 if not already installed. The reduced pressure delivery conduit 120 and the reduced pressure assessment conduit 122 can be fluidly coupled to the reduced pressure interface 118 if not already coupled. Alternatively, as shown, the combination conduit 124, including one of the reduced pressure delivery conduit 120 and the reduced pressure assessment conduit 122, can be fluidly coupled to the reduced pressure interface 118. The reduced pressure delivery catheter 120 fluid is caked to the fluid reservoir 134. The reduced pressure source 138 is fluidly coupled to the fluid reservoir 134 to provide a reduced pressure to the fluid reservoir 134. Once activated, the reduced pressure source 138 will deliver reduced pressure to the fluid reservoir U4 via the reduced pressure delivery conduit 120 and to the tissue site 102. The fluid will typically move into the reduced pressure delivery conduit 12 and will flow to the fluid reservoir. 134. The reduced pressure interface 118 allows for the transfer of reduced pressure at one or more sampling sites to one or more of the reduced pressure assessment conduits 122. The reduced pressure evaluation catheter i22 delivers the estimated reduced pressure to the evaluation chamber 146. As previously described, after a sufficient level is reached, the reduced pressure moves the first moveable portion 152 of the sealed enclosure 148 from a neutral position inwardly to a displaced position. The displacement of the first movable portion 152 can be detected or sensed by the first pressure detector 158 and can be indicated or provided by the indicator 162 for the decompression - for processing (including the display factory) The force detector 15 8 can be adapted to provide a control signal to the reduced pressure source 138 to provide feedback control to maintain a desired pressure or desired pressure range. The reduced pressure evaluation subsystem 1 8 may also include a user interface such as a keypad and display to allow for typing of the desired range or receiving other control systems 100 and, in particular, the reduced pressure evaluation subsystem 108 is allowed Existence of gas 156368.doc •13· 201200178 In the case of body or liquid contamination, the pressure is estimated relative to the pressure. The reduced pressure S leveling subsystem 108' can be made such that the evaluation chamber 146 is made of relatively inexpensive components so that it is convenient to allow the evaluation chamber 146 to be disposed of after use, while allowing the first pressure detector 158 to be used again without contamination. risk. In this manner, the reduced pressure assessment subsystem 108 minimizes the chance of exposure of contaminated fluids to higher value items or relatively expensive components. Referring now primarily to Figure 3, there is shown another illustrative, non-limiting embodiment of a reduced pressure subsystem 2〇6 and a reduced pressure evaluation subsystem 208. 3 is a graphical cross-sectional view. In this illustrative embodiment, decompression subsystem 2〇6 is combined with decompression evaluation subsystem 208 into a reduced pressure treatment unit 209. The reduced pressure treatment unit 209 can have a first portion 264 (which can be designed for disposal and which isolates fluid in the first portion 264)' and can have a second portion 266 (which can be fluidly isolated from the first portion 264 and which can Contains higher value items and reusable components). The first portion 264 and the second portion 266 can be held in close proximity to one another by an integrated housing or by a bracket 268 or other device. In this illustrative embodiment, reduced pressure source 238 delivers reduced pressure 242 to one of the pilots 270, a conduit 270 that delivers the reduced pressure to a fluid reservoir 234. The reduced pressure 242 is delivered to another conduit 272 that delivers the reduced pressure 242 to a connector 230. The connector 23 递 delivers the reduced pressure to a reduced pressure delivery catheter (not explicitly shown) that is part of a combined catheter 224. The combined catheter 224 delivers the reduced pressure to the tissue site. The second portion 266 of the reduced pressure treatment unit 209 includes a pump control unit 274 that provides pump energy to the mass of the reduced pressure source 238 using a link interface 276. I56368.doc -14- 201200178 The evaluation of the reduced pressure from the tissue portion to the connector 230 using a reduced pressure evaluation catheter (not explicitly shown), which may be part of the combination catheter 224. The evaluation of the reduced pressure is delivered from a connector 230 to an evaluation chamber 240 by a conduit 278 in a manner similar to that shown in Figure i. The evaluation chamber 246 includes a sealed enclosure 248, wall 25, including a wall 250, including a first movable portion 252, such as a first partition 254. A first pressure detector 2 58 can be included in the first portion 264 and can be substantially aligned with the first movable portion 2 $ 2 . The first pressure detector 258 is fluidly isolated from the evaluation chamber 246. The first movable portion 252 is moved inward from a neutral position to a displacement position under reduced pressure. The first pressure detector 258 is operable to sense the displacement of the first movable portion 252 under the influence of the decompression and to change one of the decompressions on an indicator or by a signal. Therefore, the first pressure detection The detector 258 is operable to assess the level of pressure at the tissue site. The fluid reservoir 234 can include a wall 280 having a second movable portion 282, such as a second partition 284. Under the influence of the reduced pressure, the second movable J knife 282 can be displaced from one of the neutral positions into the fluid reservoir 234. A second pressure detector 286 can be included in the first portion 264 and can be substantially aligned with the first movable portion 282. The second pressure detector 286 is fluidly isolated from the fluid reservoir 234. The second pressure detector 286 is operable to sense the displacement of the second movable portion 282 and to assist in determining a change in pressure or pressure within the fluid reservoir 234. The decompression data from the first pressure detector 258 (which indicates the pressure at the tissue site) and the data from the second pressure detector 286 (which indicates the pressure in the fluid reservoir 234) can be used to evaluate a decompression The efficacy of the treatment system. G-156368.doc • 15- 201200178 A pump control unit 274, a first pressure detector 258 and a second finder 286 may be included in an isolation chamber 260 to help avoid dust and other small contaminants. The isolation chamber 260 can include one or more exhaust ports and can further include a power unit 288' such as a battery that can provide electrical energy to various components, such as the pump control unit 274, the first pressure detector 258. And a second pressure detector 286. Additionally, the first portion 264 can include a user interface that receives an input, such as a desired pressure. The first portion 264 can include an indicator (not shown) for visually indicating pressure in the tissue or fluid reservoir 234. It should be noted that in the case of reduced pressure treatment unit 2〇9, a high value component that may be expected to be re-used is located within first portion 264 and is isolated from a portion of the second portion 266 that is contaminated or potentially contaminated. In the illustrative non-limiting embodiments presented herein, several combinations of components can be used to sense the displacement of the movable portions 152, 252, 282. A number of illustrative, non-limiting embodiments for sensing displacement will now be presented. Referring now primarily to Figures 4A and 4B', a portion of the reduced pressure evaluation subsystem is presented. A portion of an evaluation chamber 346 is shown having a wall 35, a wall 350, and a first movable portion 352, such as a first partition 3 Μ β. The first partition 354 can include a mesh; and a flexible or semi-flexible peripheral portion 357 . In this illustrative, non-limiting embodiment, at least a portion of the first separator 354 (e.g., at least target 355) is covered by a ferrite material or made of a ferrite material. A first pressure detector 358 located close to the first movable portion 352 but isolated or separated from the internal fluid of the evaluation chamber 346, the first pressure detector 358 can be located in the isolation chamber 36〇 36 部分 is partially shown 156368.doc -16 - 201200178 No. In this example, the first pressure detector 358 includes an electromagnetic coil 390 » a displacement of the first movable portion 352 having a ferrite magnet to the evaluation chamber 346 (as suggested in FIG. 4B) to change the electromagnetic coil 39 The inductance experienced. One of the inductances can be measured to change and used to determine the displacement of the first movable portion 352. For example, as the flux decreases, we know that the decompression has increased and the displacement of the first-movable portion 352 can be calibrated to indicate the pressure assessed internally to 346 relative to atmospheric pressure. A pressure change or pressure may be displayed on an indicator 362 or a signal may be sent for further processing (including display at another location). Referring now primarily to Figures 5A and 5B, another illustrative, non-limiting embodiment of a portion of a reduced pressure evaluation subsystem 4A is presented. A portion of an evaluation chamber 446 is shown having a wall 45 (the wall 45 includes a first movable portion 452 that can be coupled to a first partition 454. The first partition 454 includes a target 455 and a flexible or The semi-flexible perimeter 457. The target 455 includes a permanent magnet 492. The first pressure detector 458 is located outside of the e-evaluation chamber 446 and is fluidly isolated from the evaluation chamber 446. An isolation chamber 46 is shown in part. The first pressure detector 458 can be used to sense one of the magnetic field 495 or one of the magnetic fields 495 to change one of the Hall effect sensors 494. The change of the magnetic field 495 is determined by The movement of the permanent magnet 2 on a movable portion results in a change in the magnetic field 495 to generate a signal or to indicate a change in decompression or decompression within the evaluation chamber 446 on the indicator 462. 6A and 6B, another illustrative, non-limiting embodiment of a knife for a reduced pressure evaluation subsystem 5〇8 is shown. An evaluation room is displayed.
S 156368.doc -17· 201200178 546之一部分且其包括壁550。壁55〇包括—第一可移動部 分5 52,諸如一第一隔板554。第一隔板554包括—目標 及一撓性或半撓性周邊557。第一可移動部分552上之目標 555包括可由一電容性感測器596感測之鐵氧磁體或其他材 料。 一第一壓力偵測器558可位於接近於第一可移動部分552 處且與評估室546流體隔絕。第一壓力偵測器558可在一隔 絕室560或殼體内。在此說明性實施例中,第一壓力偵測 器558係電容性感測器596且因此第一可移動部分552之位 移導致電容之一改變,其由電容感測器596感測。可使用 該改變來偵測第一可移動部分552之位移,諸如圖6B中所 不。5亥位移可指示評估室546内所經歷之壓力改變或壓力 且可產生一信號或顯示於一指示器562上。一般而言,第 一可移動部分552與電容性感測器596之間之電容與其之間 之距離之平方成比例。 現在主要參照圖7A及圖7B,呈現一減壓評估子系統6〇8 說月非限制性實施例之一部分。減壓評估子系統 608包括δ平估室646,顯示其一部分評估室具有一壁 65〇。壁650包括一第一可移動部分652。第一可移動部分 652可係一第一隔板654。第一隔板054可包括一目標655 ’ 目標655具有將目標655與壁650耦合之一撓性或半撓性部 刀657。撓性或半撓性部分657允許目標655之移動。在減 壓下,黛一— 可移動部分652自一中性位置至一位移位置地 向内移動至評估室646中,如圖7Β中所示。 156368.doc -18 - 201200178 一第一壓力偵測器658與評估室646流體分離且與第—可 移動部分652大致對準。第一壓力偵測器658可在一隔絕室 660之内部。在此實施例中,第一壓力偵測器658係一超音 波感測器697,其發出超聲波,該等超聲波彈離第一可移 動部分652上之一反射器691。超音波感測器697感測第_ 可移動部分652之位移且產生指示該位移之一信號。可使 用該信號來在一指示器662上顯示一壓力測量或供進一步 處理。 現在主要參照圖8A及圖8B,呈現一減壓評估子系統7⑽ 之部分之另一說明性非限制性實施例。減壓評估子系統 708包括一評估室746,其係部分地顯示。評估室7私包括 具有一第一可移動部分752之一壁75〇。第一可移動部分 752可係一第一隔板7Μβ第一隔板?54可包括一目標755及 一撓性或半撓性部分757 〇第一可移動部分752在減壓之影 響下移動且可自-中性位置至—位移位置地移動至評估室 746 中。 一第一壓力偵測器758可位於接近於第一可移動部分752 處且與評估室746之内部流體隔絕。第一壓力偵測器758可 包含於一隔絕室760内。在此說明性非限制性實施例中, 隔絕室760包括一窗76卜窗761允許至少紅外信號行進穿 過。第一壓力偵測器758包括紅外感測器798,紅外感測器 798可操作以傳播一紅外波穿過窗761從而影響第一可移動 部分752且判定第一可移動部分752之相對位置。第一可移 動部分752反射該紅外波。第一可移動部分752在減壓之影 g. 156368.doc •19· 201200178 響下移動至評估室746中, 偵測該位移且能夠提供一 上)位移量或對應壓力。 如圖8B中所示。 信號或指示(例如 紅外感測器798 ’在指示器762 儘官已在某些說明非限制性實 日月及盆宜此復 貫施例之背景中揭示了本發 月及,、某些優點,但應理解, Α χ 作出各種改變、取代、轡 換及變更而不背離由隨附申請 ^ ^ , 圍界疋之本發明範 , g B K 1 J應庄意,圖4A至圖 8B中所呈現之減料估子系統 一 任一者亦可與一 第二可移動部分一同使用,諸如 282。 口 丫之第一可移動部分 應理解’上文所闡述之益處 優可與"'個實施例相關 或可與右干個實施例相關。應進一步理解,在提及「一 (an)」物件時系指彼等物件中之一者或多者。 —若適宜,本文中利述方法之步驟可㈣—合適次序來 實施’或可同時實施。 若適宜,上文所闡述實施例中之任一者之態樣可斑所閣 述之其他實施例中之任-者之態樣組合1而形成具有相 當或不同性質且解決相同或不同問題之其他實例。 應理解,上文對較佳實施例之說明僅系以實例方式來闡 述,且熟習此項技術者可作出各種修改。上文說明書、實 例及資料提供對本發明實例性實施例之結構及應用之完整 說明。儘管上文已以一定詳細程度或參照一或多個個別實 施例闡述了本發明之各種實施例,但熟習此項技術者可對 所揭示實施例作出數種變更而不背離申請專利範圍之範 156368.doc •20· 201200178 【圖式簡單說明】 圖1係使用用於測量減壓之一子系統之一減壓治療系統 之一說明性非限制性實施例之一示意圖,其中一部分以剖 視圖顯示,該減壓治療系統包括與—評估室隔絕之一第一 壓力偵測器; 圖2係沿圖丨中之線2_2截取之一組合導管之一說明性非 限制性實施例之一剖視圖; 圖3係一減壓治療單元之一說明性非限制性實施例之一 示意圖; 圖4A係利用一電磁線圈且置於接近於具有鐵氧磁體之一 第一隔板處之一壓力偵測器之一說明性非限制性實施例的 一示意圖; 圖4B係圖4A之壓力偵測器,其顯示第一隔板位移; 圖5A係利用一霍爾效應感測器且置於接近於一第一隔板 處之一壓力偵測器之另一說明性非限制性實施例的一示意 圖’ §亥第一隔板具有一永久性磁體; 圖5B係圖5A之壓力偵測器,其顯示第一隔板位移; 圖6A係具有接近於-第-隔板之—電容性感測器之一壓 力偵測器之-說明性非限制性實施例的一示意圖,該第一 隔板具有鐵氡磁體; 圖6B係圖6A之壓力指示器,其顯示第―隔板位移; 圖7A係包括-超音波感測器且置於接近於—第—隔板處 之-壓力㈣器之-說明性非限制性實施例的一示意圖; 156368.doc -21. 201200178 圖7B係圖7 A之壓力偵測器’其顯示第一隔板位移; 圖8 A係包括一紅外感測器且置於接近於一第一隔板處之 一壓力偵測器之一說明性非限制性實施例的一示意圖,該 第一隔板具有一反射器;及 圖8B係圖8A之壓力偵測器,其顯示第一隔板位移。 【主要元件符號說明】 100 系統 102 組織部位 104 敷料 106 減壓子系統 108 減壓子系統 110 治療引流體 112 密封部件 114 表皮 116 附接裝置 117 孔口 118 減壓介面 120 密封部件 122 減壓評估導管 124 組合導管 126 遠端 128 近端 130 連接器 132 部分 156368.doc -22· 201200178 133 近端 134 流體貯存器 136 部分 137 近端 138 減壓源 140 第二減壓遞送導管 142 減壓 144 流體 146 評估室 148 經密封包殼 149 疏水性過濾器 150 壁 152 第一可移動部分 154 第一隔板 156 周邊 158 第一壓力偵測器 160 隔絕室 162 指示器 206 減壓子系統 208 減壓評估子系統 209 減壓治療單元 224 組合導管 230 連接器 234 流體貯存器 s. 156368.doc -23- 201200178 238 減壓源 242 減壓 246 評估室 248 經密封包殼 250 壁 252 第一可移動部分 254 第一隔板 258 第一壓力偵測器 260 隔絕室 264 第一部分 266 第二部分 268 托架 270 導管 272 導管 274 幫浦控制單元 276 鏈接介面 278 導管 280 壁. 282 第二可移動部分 284 第二隔板 286 第二壓力偵測器 288 電力單元 308 減壓評估子系統 346 評估室 156368.doc -24- 201200178 350 壁 352 第一可移動部分 354 第一隔板 355 目標 357 撓性或半撓性周邊部分 358 第一壓力偵測器 360 隔絕室 362 指示器 390 電磁線圈 408 減壓評估子系統 446 評估室 450 壁 452 第一可移動部分 454 第一隔板 455 目標 457 撓性或半撓性周邊 458 第一壓力偵測器 460 隔絕室 462 指示器 492 永久性磁體 494 霍爾效應感測器 495 磁場 508 減壓評估子系統 546 評估室 5 156368.doc -25- 壁 第一可移動部分 第一隔板 目標 撓性或半撓性周邊 第一壓力偵測器 隔絕室 指示器 電容性感測器 減壓評估子系統 評估室 壁 第一可移動部分 第一隔板 目標 撓性或半撓性部分 第一壓力偵測器 隔絕室 指示器 超音波感測器 減壓評估子系統 評估室 壁 第一可移動部分 -26- 201200178 754 第一隔板 755 目標 757 撓性或半撓性部分 758 第一壓力偵測器 760 隔絕室 761 窗 762 指示器 798 紅外感測器 156368.doc -27-S 156368.doc -17· 201200178 546 and includes a wall 550. The wall 55A includes a first movable portion 552, such as a first partition 554. The first baffle 554 includes a target and a flexible or semi-flexible perimeter 557. The target 555 on the first movable portion 552 includes a ferrite magnet or other material that can be sensed by a capacitive sensor 596. A first pressure detector 558 can be located proximate to the first moveable portion 552 and fluidly isolated from the evaluation chamber 546. The first pressure detector 558 can be within a compartment 560 or housing. In this illustrative embodiment, the first pressure detector 558 is a capacitive sensor 596 and thus the displacement of the first movable portion 552 causes one of the capacitances to change, which is sensed by the capacitive sensor 596. This change can be used to detect the displacement of the first movable portion 552, such as in Figure 6B. The 5H displacement may indicate a pressure change or pressure experienced within the evaluation chamber 546 and may generate a signal or be displayed on an indicator 562. In general, the capacitance between the first movable portion 552 and the capacitive sensor 596 is proportional to the square of the distance between them. Referring now primarily to Figures 7A and 7B, a portion of a non-limiting embodiment of a reduced-pressure evaluation subsystem 6〇8 is presented. The reduced pressure evaluation subsystem 608 includes a delta ration chamber 646 showing that a portion of the evaluation chamber has a wall 65 〇. Wall 650 includes a first movable portion 652. The first movable portion 652 can be a first spacer 654. The first partition 054 can include a target 655' target 655 having a flexible or semi-flexible knife 657 that couples the target 655 to the wall 650. The flexible or semi-flexible portion 657 allows movement of the target 655. Under depressurization, the first movable portion 652 is moved inwardly from a neutral position to a displacement position into the evaluation chamber 646 as shown in Fig. 7A. 156368.doc -18 - 201200178 A first pressure detector 658 is fluidly separated from the evaluation chamber 646 and substantially aligned with the first movable portion 652. The first pressure detector 658 can be internal to an isolation chamber 660. In this embodiment, the first pressure detector 658 is an ultrasonic sensor 697 that emits ultrasonic waves that are ejected from one of the reflectors 691 on the first movable portion 652. The ultrasonic sensor 697 senses the displacement of the _ movable portion 652 and generates a signal indicative of the displacement. This signal can be used to display a pressure measurement on an indicator 662 or for further processing. Referring now primarily to Figures 8A and 8B, another illustrative, non-limiting embodiment of a portion of a reduced pressure evaluation subsystem 7 (10) is presented. The reduced pressure evaluation subsystem 708 includes an evaluation chamber 746 that is partially displayed. The evaluation room 7 privately includes a wall 75 具有 having a first movable portion 752. The first movable portion 752 can be a first partition 7 Μ β first partition? 54 may include a target 755 and a flexible or semi-flexible portion 757. The first movable portion 752 moves under reduced pressure and is movable from the neutral position to the displacement position into the evaluation chamber 746. A first pressure detector 758 can be located proximate to the first moveable portion 752 and fluidly isolated from the interior of the evaluation chamber 746. The first pressure detector 758 can be included in an isolation chamber 760. In this illustrative, non-limiting embodiment, isolation chamber 760 includes a window 76 window 761 that allows at least infrared signals to travel through. The first pressure detector 758 includes an infrared sensor 798 that is operable to propagate an infrared wave through the window 761 to affect the first movable portion 752 and determine the relative position of the first movable portion 752. The first movable portion 752 reflects the infrared wave. The first movable portion 752 is in the shadow of the decompression g. 156368.doc • 19· 201200178 Moves down to the evaluation chamber 746 to detect the displacement and can provide an upper displacement amount or a corresponding pressure. This is shown in Figure 8B. The signal or indication (e.g., infrared sensor 798' reveals the present month and, in the context of the indicator 762, in the context of certain illustrative non-restrictive real-time and basin-like embodiments, some advantages However, it should be understood that Α 作出 makes various changes, substitutions, exchanges and changes without departing from the accompanying application ^ ^ , the invention of the fence, g BK 1 J should be solemn, Figure 4A to Figure 8B Any one of the presented reduced estimation subsystems can also be used with a second movable portion, such as 282. The first movable portion of the mouth should understand that the benefits described above can be combined with "' implementations Examples may be related to or may be related to the right embodiment. It should be further understood that reference to "an" item refers to one or more of the items. - If appropriate, The steps may be carried out in the appropriate order, or may be carried out simultaneously. If appropriate, any of the embodiments described above may be used in any of the other embodiments of the embodiments described herein. And form other ones that have comparable or different properties and solve the same or different problems It is to be understood that the foregoing description of the preferred embodiments of the embodiments of the invention A full description of the application, although various embodiments of the invention have been described above with a certain degree of detail or with reference to one or more individual embodiments, those skilled in the art can make various changes in the disclosed embodiments without departing from the invention. Patent Application No. 156368.doc •20·201200178 [Simplified Schematic] FIG. 1 is a schematic diagram of an illustrative non-limiting embodiment of a reduced pressure treatment system using one of the subsystems for measuring decompression, A portion of which is shown in cross-sectional view, the decompression therapy system including one of the first pressure detectors isolated from the evaluation chamber; FIG. 2 is an illustrative non-limiting embodiment of one of the combined catheters taken along line 2-2 of the figure 1 is a schematic view of one of the illustrative non-limiting embodiments of a reduced pressure treatment unit; FIG. 4A utilizes an electromagnetic coil and is placed close to having A schematic view of one of the pressure detectors at one of the first separators of the ferrite magnet; FIG. 4B is a pressure detector of FIG. 4A showing the displacement of the first diaphragm; FIG. A schematic diagram of another illustrative, non-limiting embodiment of a pressure detector that utilizes a Hall effect sensor and is placed adjacent to a first diaphragm. The first spacer has a permanent Figure 5B is a pressure detector of Figure 5A showing the displacement of the first diaphragm; Figure 6A is a pressure detector of a capacitive sensor close to the -------- illustratively unrestricted 1 is a schematic view of the first separator having a stellite magnet; FIG. 6B is a pressure indicator of FIG. 6A showing the first-displacement displacement; FIG. 7A includes an - ultrasonic sensor and placed close to - a cross-section - pressure (four) - a schematic diagram of an illustrative non-limiting embodiment; 156368.doc -21. 201200178 Figure 7B is a pressure detector of Figure 7A 'which shows the displacement of the first baffle Figure 8A is a pressure detector that includes an infrared sensor and is placed close to a first spacer A schematic diagram of an illustrative, non-limiting embodiment, the first separator having a reflector; FIG. 8A and 8B of the pressure-based detectors, which displays the displacement of the first separator. [Main component symbol description] 100 System 102 Tissue site 104 Dressing 106 Decompression subsystem 108 Decompression subsystem 110 Treatment of the fluid guide 112 Sealing member 114 Skin 116 Attachment device 117 Port 118 Pressure reducing interface 120 Sealing member 122 Decompression evaluation Catheter 124 Combination Catheter 126 distal end 128 proximal end 130 connector 132 portion 156368.doc -22· 201200178 133 proximal end 134 fluid reservoir 136 portion 137 proximal end 138 decompression source 140 second decompression delivery catheter 142 decompression 144 fluid 146 Evaluation chamber 148 Sealed enclosure 149 Hydrophobic filter 150 Wall 152 First movable portion 154 First partition 156 Peripheral 158 First pressure detector 160 Isolated chamber 162 Indicator 206 Decompression subsystem 208 Decompression evaluation Subsystem 209 Relief Treatment Unit 224 Combination Catheter 230 Connector 234 Fluid Reservoir s. 156368.doc -23- 201200178 238 Decompression Source 242 Decompression 246 Evaluation Chamber 248 Sealed Enclosure 250 Wall 252 First Movable Section 254 First partition 258 first pressure detector 260 isolation chamber 264 part 266 Portion 268 Bracket 270 Catheter 272 Catheter 274 Pump Control Unit 276 Link Interface 278 Catheter 280 Wall. 282 Second Movable Section 284 Second Bulkhead 286 Second Pressure Detector 288 Power Unit 308 Decompression Evaluation Subsystem 346 Evaluation Room 156368.doc -24- 201200178 350 Wall 352 First movable portion 354 First partition 355 Target 357 Flexible or semi-flexible peripheral portion 358 First pressure detector 360 Isolated chamber 362 Indicator 390 Electromagnetic coil 408 minus Pressure Evaluation Subsystem 446 Evaluation Room 450 Wall 452 First Movable Portion 454 First Bulkhead 455 Target 457 Flexible or Semi-Flexible Peripheral 458 First Pressure Detector 460 Isolation Chamber 462 Indicator 492 Permanent Magnet 494 Hall Effect Sensor 495 Magnetic Field 508 Decompression Evaluation Subsystem 546 Evaluation Room 5 156368.doc -25- Wall First Movable Part First Partition Target Flexible or Semi-Flexible Periphery First Pressure Detector Isolation Chamber Indicator Capacitive sensor decompression evaluation subsystem evaluation chamber wall first movable portion first partition target flexible or semi-flexible portion first Force detector isolation chamber indicator ultrasonic sensor decompression evaluation subsystem evaluation chamber wall first movable part -26- 201200178 754 first partition 755 target 757 flexible or semi-flexible part 758 first stress detection 760 Insulation Room 761 Window 762 Indicator 798 Infrared Sensor 156368.doc -27-